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1114152154
TINA LOUISE VAN DOREN
ST PETERSBURG, FL
NPI
1114152154
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: FL ARNP9170633)
Enumeration Date
2009-05-20
Last Update Date
2011-08-18
Business Address
Ms. TINA LOUISE VAN DOREN ARNP, CPNP-PC, MSN
4040 49TH ST N
ST PETERSBURG, FL 33709-5734
Phone number: 727-526-6483
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Mailing Address
Ms. TINA LOUISE VAN DOREN ARNP, CPNP-PC, MSN
4040 49TH ST N
ST PETERSBURG, FL 33709-5734
Phone number: 727-526-6483
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